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MMI 408 Medical Technology Acquisition and Assessment June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning Maine HIE/Axolotl, Inc Contract Negotiations 1

MMI 408 Medical Technology Acquisition and Assessment June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

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MMI 408 Medical Technology Acquisition and Assessment June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning. Maine HIE/Axolotl, Inc Contract Negotiations. Maine HIE (Buyer) Contract Viewpoint. Introduction Buyer: Maine HIE Sharon Perelman Chris Beuning. - PowerPoint PPT Presentation

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Page 1: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

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MMI 408 Medical Technology Acquisition and Assessment June 3, 2012

Sharon PerelmanJarrod Nagowski

Andy TiceChris Beuning

Maine HIE/Axolotl, Inc Contract Negotiations

Page 2: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Maine HIE (Buyer) Contract Viewpoint

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Page 3: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Introduction Buyer: Maine HIE

Sharon PerelmanChris Beuning

Mission Critical ItemsLicensingWarrantiesService Level AgreementTraining

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Page 4: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

LicensingAfter reviewing the contract presented

the following is a list of items that we will require from the Axoloti Health Information Development.License type

Perpetual- Allows the Maine HIE to use the software without paying additional licensing fees beyond the initial fees.

Enterprise- this type of license will allow for the HIE to grow without concern of additional fees. The enterprise license will include all affiliates of the HIE, current

and future. Important since we anticipate significant growth.

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Page 5: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

LicensingWe propose will a single agreement including

licensing, support and maintenance .Propose: We are willing to take this off the table

and have a separate support and maintenance agreement. Conditions: WE HAVE A SEPARATE AGREEMENT MUST

INCLUDE A PRECEDENCE PROVISION IN EACH AGREEEMENT.

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Page 6: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

License

2.1 License. Vendor grants MHIE a non-exclusive, non-transferable annual enterprise subscription license for access to the Vendor Solution solely for its internal operations.

Propose:Transferability- The license must be transferable to

any successors or affiliates of the Maine HIE

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Page 7: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Source CodeMust be kept by a third party escrow agent and

updated will revisions, enhancements, bug fixes and upgrades

We will have the right to reverse engineer the source code if needs to interface additional applications

Users – License will include all intended users of the software, current and future

This is critical due to the limited number of users initially and the anticipated growth in users

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Page 8: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Third Party Software FeesAny fees for 3rd party software to be paid by the vendor

Compromise : Willing to compromise, must have copies of all 3rd party license agreement for approval prior to implementation

If the license fee associated with the software is unacceptable may try for the ability to use reverse engineering to design and incorporate the features as stipulated in the source code agreement.

Golden Bridge

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Page 9: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Miscellaneous License Issues

Must be able to serve as a Service bureauThe nature of the business will require the

organization to process data from other entities.

TaxesWe will require the electronic distribution of the

software in order to benefit from the lack of sales tax as a result of the document being governed by the laws of the state of Florida.

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Page 10: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Warranties

There are several items that will be required in the Warranties/Liability and limitations of liability areas of the contract.

The importance of this is that it will protect the organizations interest, and ensure that the vendor is delivering what we expect.

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Page 11: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

WarrantiesThe software will perform in accordance with all

requirements in the RFPThe software will be virus free

This applies to any 3rd party services used by the vendorThe vendor will not embed a disabling method or any

features that would lock us out of the software.The software is compatible with all hardware and

software platforms used by the HIE. All standards included in the RFP are required.

The vendor will comply with all laws current and future

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Page 12: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Service Level Agreement 11.1 Service Commitment

Scheduled Downtime – request weekly maintenance downtime to be limited to every other week, midnight Friday through 6am Saturday to limit impact to sites with extended hours

Any downtime resulting from Vendor personnel or Solution defects are entitled to the 25% credit

Overall a 99.9% uptime is required by Maine HIE

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Page 13: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Service Level Agreement Definition of Delivery Date

Will be determined by the completion of the acceptance testing by the 10 pilot users

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Page 14: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

TrainingTraining 3.2

One on one, “Just-In-Time” training will be conducted immediately following successful acceptance testing, including any requested fixes or agreed upon modifications

Web based training solutions will be provided as well as end user manuals

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Page 15: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Axolotl, Inc. (Vendor) Contract Viewpoint

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Page 16: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Introduction Vendor: Axolotl, Inc

Jarrod NagowskiAndy Tice

Mission Critical Items 4.1 Initial Fee 4.2 Renewal Fee 4.3 Additional Services 10.3 Remedy 3.4 Upgrades 3.3.4 Diversity

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Page 17: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

4. Fees and Payment4.1 Initial Fee

Initial Fee. MHIE shall pay the Initial Fees listed in accordance with the schedule set forth on Schedule B, which shall be due and payable to Vendor ninety (90) days after Acceptance of the Solution. Vendor shall invoice any additional costs reasonably incurred by Vendor in the delivery of the Solution as they are incurred.

Vendor: It is in no way feasible to delay payment until 90 days after delivery. Our company does not have the resources available to pay out of pocket expenses to cover all work until then.

Propose: Payment of 50% up-front, the remaining 50% on delivery and approval of acceptance testing

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Page 18: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

4. Fees and Payment4.2 Renewal Fee

Renewal Fee. The MHIE shall pay a license renewal fee annually on January 15th for that calendar year. If the renewal fees are not paid, the MHIE will lose the ability to access the Solution and read the data stored in the Solution.

Vendor: These renewal fees are critical to our business and need to be paid annually. Additions to the solution from third parties may increase this renewal fee

Propose: If MHIE does not choose to obtain new capabilities then renewal costs will be limited to the previously agreed upon renewal fee.

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Page 19: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

4. Fees and Payment4.3 Additional Services

Additional Services (Seat License Only). In the event that the MHIE shall expand the number of users beyond that identified in Section 2, it shall be liable for an additional licensing fee that shall be payable to the Vendor. Said fee shall be consistent with the then prevailing rates of the Vendor and shall be paid by MHIE within 15 days after such additions

Vendor: Propose: MHIE will pay a flat rate for additional seats in

blocs of 100. Fees will be increased beyond this amount in those aforementioned increments.

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Page 20: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

10. Term and Termination10.3. Remedy

In addition to any other remedy that Vendor may have at law, in equity or under this Agreement, upon the occurrence of any breach set forth in Section 10.2 above, MHIE shall have the right to immediately enter Vendor's premises, access Vendor's computer systems and to seize any copies of the Solution or Documentation or any modifications or materials derived thereof

Vendor: Under no circumstance will Axolotl allow Maine HIE to enter our premises and access our computers. MHIE is not our only client and due to the nature and sensitivity of data included in our system which has nothing to do with MHIE, another solution must be implemented.

Propose: After the breach has gone through proper channels and all due-diligence completed, Axolotl will provide all requested documentation to MHIE, and destroy that documentation within (3) days thereafter. Because the information is owned by Axolotl, only information specifically related to MHIE will be removed, whereas the solution can still be used and sold as Axolotl chooses.

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Page 21: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

3. Acceptance, Installation, Training, and Upgrades

3.4 Upgrades

Upgrades. Upgrades and enhancements to the Solution may be made from time to time at Vendor's sole discretion and shall be implemented by Vendor. If an upgrade requires the use of ancillary hardware or Solution, it is MHIE's obligation to purchase and install the required ancillary hardware or Solution.

Vendor: As the vendor, it is imperative all hardware and software implementations run through Axolotl.

Propose: All requested upgrades must be approved by Axolotl. After approval, implementation will be completed exclusively by Axolotl to ensure proper compatibility with the current system. All costs incurred are still the responsibility of MHIE

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Page 22: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

3. Acceptance, Installation, Training, and Upgrades

3.3.4 Diversity

Diversity. Vendor agrees and guarantees that a minimum of 50% of its implementation team shall be residents of Maine, and that 33% of the team must be of the Indian Tribe.

Vendor: In order to accomplish SOW as defined in our current timeframe, it is necessary to assemble the best unbiased team possible.

Propose: Axolotl will create the best team possible from applicants as we are an Equal Opportunity Employer and cannot stray from this. Due to the location of the project and our refusal to offer relocation fees, it is assumed a large percentage of applicants will reside in Maine.

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Page 23: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Negotiations

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Page 24: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Source Code Issues (Buyer)Source code

Contract states the the vendor will place in escrowVendor will release in the event of :

Bankruptcy Permanently

Failure to provide a work around Temporarily

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Page 25: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Source Code Interests Vendor wants

No access to source code besides what is stated

Updates only with major upgrades

Will not pay for validity check

Buyer wants Updates on all bugs,

fixes, revisions and enhancements

To have temporary access to develop interfaces in- house

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Page 26: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Source Code CompromiseUpdates will include

Weekly during acceptance testing and then monthly and with major upgrades

Buyer will pay all fees related to checking the validity of the upgraded source code

Vendor will be given the opportunity to compete with our in house team to develop interfaces , if we chose the in house proposal, the source code will be released temporarily to allow for reverse engineering.

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Page 27: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Licensing Issues (Buyer)Current state in contract

Annual renewal feeSeat license per number of users

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Page 28: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

License InterestsVendor wants

Annual renewal feeFees per number

of users

Buyer wantsPerpetual licenseUnlimited users

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Page 29: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

License CompromiseBuyer will purchase initial perpetual license The fee for this will be consistent with fees for

this type of license in a similar sized organization

The buyer will purchase additional license in increments (250, 500,1000) users, this will be a one time fee to the buyer

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Page 30: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Service Level Agreement Issues (Buyer)

Current state:Weekly scheduled downtime from midnight Friday to

noon Saturday (7.1% downtime built in as written)Significant exceptions permitted to proposed 100 %

uptime and vendor responsibilities limited and in part exempted from the 25% credit

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Page 31: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Service Level Agreement Interests

Vendor Wants Scheduled Uptime: Vendor shall use

reasonable efforts to make access to Vendor available 100%, twenty-four (24) hours per day, seven (7) days a week,

Excluding: (i) Scheduled downtime for systems

maintenance, including without limitation diagnostics, upgrades, and operations reconfiguration which shall occur weekly from midnight Friday night through Noon on Saturday; and

(ii) Unscheduled downtime caused by forces beyond the immediate control of Vendor, including Solution defects, hardware failures, insufficient Vendor personnel or downtime caused by MHIE’s network, the Internet, Vendor personnel error or force majeure.

Buyer Wants Limitation to

scheduled down time Increased vendor

responsibility for unscheduled downtime with corresponding 25% credit

buyer request for the regular downtime to once a month. then the compromise could be every other week

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Page 32: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Service Level Agreement Compromise

The compromise is to schedule down time every other week

We ( the vendor) will negotiate the percent credit which is currently 25% in para 11.2 for compensation to MHIE down to 12.5%

If acceptance testing is not completed on the pilot group with in 180 days it will be considered delivered at this time.

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Page 33: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Training Issues (Buyer)Current Contract:

One-on-One training within first 90 days of agreement prior to completion of allowed 180 days of end user testing

No web based or training manual type offering

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Page 34: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Training Interests Vendor Wants

Not to have to take away from the completion of the project to provide training

Additional compensation per hour/call

Buyer Wants Training at the end of

acceptance testing and associated changes

Additional training materials to include web base solutions and end user manuals

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Page 35: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Training CompromiseTraining will run through the deployment and up

to 180 days after first deploymentTraining sessions will have no less that 5 people

or they will be rescheduledTraining hours will be decreased to reflect a

group training methodologyOnline tutorial training created by the vendor

will be available continuously and updated with upgrades

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Page 36: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Additional ConsiderationsDue to the potential conflict of interest, Sharon

and Jarrod will have alternates negotiate their positions

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Page 37: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

Negotiation Techniques UsedReframeBuilding a golden bridge

Source codeLicensing

Considerations during negotiations – Best Alternative to A Negotiated Agreement (BATNA)

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Page 38: MMI 408  Medical Technology Acquisition and Assessment  June 3, 2012 Sharon Perelman Jarrod Nagowski Andy Tice Chris Beuning

ReferencesOverly, M., & Kalyvas, J. R. (2004). Software

agreements line by line: A detailed look at software contracts and licenses and how to change them to fit your needs. Boston, MA: Aspatore Books.

Ury, W. (1993). Getting past no: Negotiating in difficult situations. New York, NY: Bantam Books.

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